Individual
MS. DEBORAH A VANDERWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26211 W BOESCH PL, INGLESIDE, IL 60041-9775
(847) 344-4606
Mailing address
26211 W BOESCH PL, INGLESIDE, IL 60041-9775
(847) 344-4606
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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